Physician
Pediatric Care Associates, P.C.
Pediatric Care Associates, P.C. was paid $631K by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 90832, psychotherapy session, about 30 minutes — 36% of everything it billed.
33Billing provider infoPEDIATRIC CARE ASSOCIATES, P.C.
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
33aNPI1104847235assigned 07/22/2006
33bProvider typePediatrics Physician
28Total paid$631K
24GClaims26,401
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#121 of 1,273
Median peer was paid$24K
This provider vs. median26×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,526 | $52K | |
| 2019 | 377 | $10K | |
| 2020 | 166 | $4K | |
| 2021 | 471 | $5K | |
| 2022 | 602 | $10K | |
| 2023 | 10,195 | $198K | |
| 2024incomplete | 13,064 | $352K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 36% | 1,658 | 1,608 | $230K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 17% | 361 | 361 | $107K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 10% | 2,690 | 2,449 | $66K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 6.0% | 2,691 | 2,652 | $38K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 3,691 | 3,432 | $38K |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | 4.0% | 821 | 815 | $25K |
| 99188 | 3.6% | 845 | 841 | $23K | |
| 92587 | 3.5% | 1,381 | 1,337 | $22K | |
| 96127 | 2.5% | 1,540 | 1,519 | $16K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 1,307 | 1,275 | $13K |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | 1.7% | 352 | 348 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 516 | 496 | $9K |
29 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 2,566 | $8K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 207 | $6K |
| 81002 | <1% | 1,502 | $5K | |
| 90480 | <1% | 72 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 600 | $3K |
| 99177 | <1% | 471 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 557 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 81 | $989.65 |
| 94664 | <1% | 50 | $712.24 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 354 | $636.23 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 43 | $630.56 |
| 92567 | <1% | 35 | $430.19 | |
| 90686 | <1% | 315 | $322.00 | |
| 90656 | <1% | 300 | $229.97 | |
| 90461 | <1% | 12 | $175.50 | |
| 94760 | <1% | 92 | $152.97 | |
| 88740 | <1% | 12 | $65.84 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 44 | $34.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 48 | $20.45 |
| 96160 | <1% | 29 | $16.61 | |
| 90698 | 0% | 25 | $0.00 | |
| 90677 | 0% | 185 | $0.00 | |
| 90680 | 0% | 28 | $0.00 | |
| 91319 | 0% | 12 | $0.00 | |
| 99072 | 0% | 811 | $0.00 | |
| 90700 | 0% | 42 | $0.00 | |
| 99499 | 0% | 14 | $0.00 | |
| 90633 | 0% | 26 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialTYMINSKA-PALUCHOWSKA, BEATA (PRESIDENT)